33D2028151 CLIA NUMBER - NY SPINE CARE INTERVENTIONAL PAIN MANAGEMENT

Laboratory Demographics

  • CLIA Code: 33D2028151
  • Facility Name: NY SPINE CARE INTERVENTIONAL PAIN MANAGEMENT
  • Facility Address: 188-16 NORTHERN BLVD
    FLUSHING, NY
    ZIP 11358
  • Facility Phone: 718 762-7000
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: DR. JI H. HAN
  • NPI Number: 1881986743
  • Taxonomy: 208VP0014X - Pain Medicine

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CLIA Record

Field Name Field Value
CLIA Number 33D2028151
LAB Type Physician Office
Facility Name NY SPINE CARE INTERVENTIONAL PAIN MANAGEMENT
Street 188-16 NORTHERN BLVD
City FLUSHING
State NY
ZIP 11358
Phone 718 762-7000
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 8/10/2025
Certificate Expiration Date 8/9/2027
Facility Type Physician Office
Lab Director DR. JI H. HAN

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This page was last updated on: 9/29/2025